<!DOCTYPE html>
<html>

	<head>
		<meta charset="utf-8">
		<meta name="viewport" content="initial-scale=1, maximum-scale=1, user-scalable=no">
		<meta name="format-detection" content="telephone=no">
		<title>保单号查车险</title>
		<link rel="stylesheet" href="../css/frozen.css">
		<link rel="stylesheet" type="text/css" href="../css/main.css" />
		<style type="text/css">
			.ui-form-item label:not(.ui-switch):not(.ui-checkbox):not(.ui-checkbox-s):not(.ui-radio) {
				width: 115px;
			}
			.ui-form-item > .ui-select {
				margin-left: 115px;
			}
		</style>
	</head>

	<body ontouchstart>
		
		<section class="ui-container">
			<div class="ui-form-item ui-border-b ui-border-t">
				<label style="color: #bbbbbb;">请选择保险公司</label>
				<div class="ui-select">
					<select>
						<option selected></option>
						<option>平安保险</option>
						<option>人寿保险</option>
					</select>
				</div>
			</div>
			<div class="ui-form-item ui-form-item-pure ui-border-b">
				<input type="text" placeholder="保单号码">

			</div>
			<div class="ui-form-item ui-form-item-r ui-border-b">
				<input type="text" placeholder="手机号码">
				<!-- 若按钮不可点击则添加 disabled 类 -->
				<button type="button" class="ui-border-l">获取验证码</button>
			</div>

			<div class="ui-form-item ui-form-item-pure ui-border-tb martop10">
				<input type="text" placeholder="验证码">

			</div>

			<div class="ui-btn-wrap">
				<button class="ui-btn-lg ui-btn-primary">
					查询
				</button>
			</div>
		</section>
	</body>

</html>